DR. NICHOLAS LIN (NPI# 1417168998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417168998 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS LIN |
| Credential | M.D., |
| Practice Address |
5957 S Mooney Blvd Visalia CA 93291 |
| Mailing Address |
4235 Arica Ave Rosemead CA 91770-1409 |
| Practice Telephone | 5597374660 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2008-10-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
A89293 | CA | Allopathic & Osteopathic Physicians |
| N | 202C00000X | Independent Medical Examiner | A89293 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972751360 | Nicholas Lin | Family Medicine | 2700 Citizens Plz, Victoria, TX 77901-5754 | 2008-08-28 |
| Street Address |
5957 S MOONEY BLVD |
| City | VISALIA |
| State | CA |
| Zip Code | 93291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013005347 | Kings/tulare Area Agency On Aging | Case Management | 5957 S Mooney Blvd, Visalia, CA 93277-9394 | 2006-10-11 |
| 1396246948 | Cristhian Ibanez | Health Educator | 5957 S Mooney Blvd, Visalia, CA 93277-9394 | 2018-02-27 |
| 1902304819 | Aurora Lopez | Health Educator | 5957 S Mooney Blvd, Visalia, CA 93277-9394 | 2018-01-25 |
| 1730543091 | County of Tulare | Clinic/Center | 5957 S Mooney Blvd, Visalia, CA 93277-6422 | 2016-04-12 |
| 1205104296 | Adrienne Renee Loza-hernandez | Counselor | 5957 S Mooney Blvd, Visalia, CA 93277-9394 | 2011-12-06 |
| 1144450883 | Gail Rosanne Nelson | Counselor | 5957 S Mooney Blvd, Visalia, CA 93277-9394 | 2009-07-15 |
| 1841447281 | Christine Renee Ganey | Case Manager/Care Coordinator | 5957 S Mooney Blvd, Visalia, CA 93277-9394 | 2008-08-27 |
| 1295981553 | Betsy Donalyn Ellis | Case Manager/Care Coordinator | 5957 S Mooney Blvd, Visalia, CA 93277-9394 | 2008-08-18 |
| 1427277011 | Anna Maria Schaefer | Licensed Vocational Nurse | 5957 S Mooney Blvd, Visalia, CA 93277-9394 | 2007-04-24 |
| 1528105558 | County of Tulare | Clinic/Center | 5957 S Mooney Blvd, Visalia, CA 93277-9394 | 2007-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255964854 | Stephanie Janae Ybarra | Orthotist | 5412 Avenida De Los Robles, Suite 101, Visalia, CA 93291 | 2020-02-21 |
| 1689223067 | Patricia Mari Marquez | Technician | 32481 Road 127, Visalia, CA 93291 | 2019-09-09 |
| 1942767710 | Jeremy Clifton Mccallister | Counselor | 120 W. School Ave., Visalia, CA 93291 | 2019-02-27 |
| 1568975290 | Kaweah Delta Health Care District | Clinic/Center | 3600 Flagstaff Avenue, Visalia, CA 93291 | 2017-11-16 |
| 1932625308 | Christina Gonzalez | Counselor | New Hope, 212 N. Stevenson, Visalia, CA 93291 | 2017-08-17 |
| 1629598545 | Estherose Molina | Assistant Behavior Analyst | 5445 W. Sweet Drive, Visalia, CA 93291 | 2017-06-21 |
| 1487195988 | Brenda Rodriguez | Case Manager/Care Coordinator | 546 East Tulare Ave, Visalia, CA 93291 | 2017-03-16 |
| 1295181857 | David James Tsuneji Fujihara | Emergency Medicine | 400 W. Mineral King Ave, Visalia, CA 93291 | 2016-05-12 |
| 1326409343 | Bay Area Surgical Specialists, Inc A Medical Corporation | Pain Medicine | 5127 W Noble Ave, Visalia, CA 93291 | 2016-03-18 |
| 1932585700 | Charles Dominick Trentacosti | Occupational Therapy Assistant | 514 N Bridge St, Visalia, CA 93291 | 2015-08-04 |
| Find all providers in zip 93291 | ||||
| Taxonomy Code | 207RA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Adolescent Medicine |
| An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396115853 | Cedars Primary Care Apmc | Internal Medicine | 18370 Burbank Blvd Ste 201, Tarzana, CA 91356-2853 | 2015-09-28 |
| 1669886933 | Marius Viseroi | Internal Medicine | 3231 Waring Ct Ste D, Oceanside, CA 92056-4510 | 2014-06-16 |
| 1730314378 | Lofty L Basta | Internal Medicine | 765 Market St Apt 35a, San Francisco, CA 94103-2041 | 2009-05-27 |
| 1659534766 | Goodfaith Family Medical Clinic | Internal Medicine | 7540 Garvey Ave Ste C, Rosemead, CA 91770-2960 | 2008-07-08 |
| 1710109509 | Joshua A Jacobi | Internal Medicine | 301 S Fair Oaks Ave Ste 404, Pasadena, CA 91105-2562 | 2007-05-03 |
| 1972624955 | Innovative Medical Solutions Inc A Medical Group | Internal Medicine | 14860 Roscoe Blvd Ste 200, Panorama City, CA 91402-4683 | 2007-04-03 |
| 1326101445 | Karen K.w. Kakishiba, M.d. Inc. | Internal Medicine | 810 Richland Rd, Yuba City, CA 95991-6200 | 2006-12-19 |
| 1518030543 | Lisa Law | Internal Medicine | 728 Pacific Ave Ste 302, San Francisco, CA 94133-4489 | 2006-11-16 |
| 1497844864 | Shigeki Fujitani | Internal Medicine | 6170 Canterbury Dr, Apt 222, Culver City, CA 90230-7929 | 2006-10-12 |
| 1982791562 | Rafayel Gevorkian | Internal Medicine | 5129 W Sunset Blvd, Los Angeles, CA 90027-5715 | 2006-10-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.